Rainbow Halos: When to Seek Eye Care - Ophthalmology

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Rainbow halo


Hello, doctor.
I would like to ask if I should go to the hospital for an examination based on the following conditions.
For the past month, when I look at streetlights and car headlights at night, I sometimes notice the following: 1.
Every day, when looking at streetlights from a specific position, I see a rainbow halo around the light source, but at the same time, almost no other streetlights have a rainbow halo.
If I move away from that position, the halo becomes less distinct and eventually disappears.
(There was one occasion where I saw two streetlights with rainbow halos simultaneously, but at that moment, I could see at least five or six streetlights, and only those two had halos—one on the upper left and one on the upper right.) 2.
Sometimes, there are rainbow halos around car headlights, and in most cases, only one headlight will have a halo.
For example, if the left headlight of a car has a rainbow halo, the right headlight will not.
3.
When coming out from a dark indoor area or looking at a specific light from a dark indoor area, I have the chance to see a rainbow halo.
The above conditions are only occasionally noticeable; usually, there are not many rainbow halos when I walk on the street at night.
Additionally, I would like to ask if the rainbow halos I see are considered chromatic aberration?

kamo, 20~29 year old female. Ask Date: 2017/09/16

Dr. He Jianxian reply Ophthalmology


The term "rainbow vision" refers to corneal edema, which causes a rainbow-like halo around a light source when viewed directly.
Therefore, any light source should be visible in this manner, which does not align with your description.

Reply Date: 2017/09/16

More Info


When it comes to experiencing rainbow halos around lights, particularly at night, it is essential to understand the potential underlying causes and when to seek medical attention. Your description of seeing rainbow halos around streetlights and car headlights, especially in specific positions or lighting conditions, raises several important considerations.


Understanding the Symptoms
1. Rainbow Halos: The phenomenon you are describing, where you see rainbow halos around lights, is often referred to as "rainbow vision" or "halos." This can occur due to various reasons, including:
- Corneal Issues: Conditions affecting the cornea, such as corneal swelling or irregularities, can cause light to scatter, resulting in halos.

- Dry Eyes: Insufficient tear production or poor tear quality can lead to a distorted vision, particularly in low-light conditions. This is often exacerbated by prolonged screen time or environmental factors.

- Refractive Errors: If you have uncorrected refractive errors (like myopia or astigmatism), you may notice halos around lights, especially at night.

- Cataracts: Although you may not have been diagnosed with cataracts, they can cause halos around lights due to the clouding of the lens in the eye.

2. Specific Situations: The fact that you see halos only under certain conditions (like specific positions or lighting) suggests that your symptoms may be related to how light interacts with your eyes in those situations. For instance, moving from a dark environment to a bright one can cause temporary visual disturbances as your eyes adjust.


When to Seek Eye Care
Given your symptoms, it is advisable to seek an eye examination, especially if:
- The halos are persistent or worsening.

- You experience additional symptoms such as blurred vision, eye pain, or headaches.

- You have a history of eye conditions, particularly if you are at risk for glaucoma or cataracts.

During your visit, an eye care professional will likely perform a comprehensive eye exam, which may include:
- Visual Acuity Test: To assess how well you see at various distances.

- Refraction Test: To determine if you need glasses or a change in your prescription.

- Slit-Lamp Examination: To evaluate the health of your cornea, lens, and other structures in your eye.

- Tonometry: To measure intraocular pressure, which is crucial for glaucoma assessment.


Is This "Rainbow Vision"?
The term "rainbow vision" can refer to the halos you are experiencing. However, it is essential to differentiate this from other visual phenomena. If the halos are accompanied by other symptoms like flashes of light or a sudden increase in floaters, it could indicate a more serious condition, such as retinal detachment, which requires immediate attention.


Conclusion
In summary, while occasional rainbow halos may not be a cause for alarm, the specific patterns and conditions under which you experience them warrant a thorough evaluation by an eye care professional. Early detection and treatment of any underlying issues can help prevent potential complications and improve your overall visual comfort. It is always better to err on the side of caution when it comes to your eye health, so scheduling an appointment with an ophthalmologist or optometrist would be a prudent step.

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